Job Summary :
Under general supervision and in accordance w / established policies and procedures, reviews charts for deficiencies in documentation required by Joint Commission, Title 22, Bylaws, & hospital policies.
Monitors physician chart completion timeliness and performs a variety of clerical duties related to the processing of medical records.
Essential Responsibilities :
This description is for recruitment posting purposes only. It has not received full HR review and approval.
- Upholds KPs Policies and Procedures, Principles of Responsibilities, and applicable state, federal, and local laws.
- Reviews record requests received from outside providers, agencies, schools, and attorneys.
- Verifies that proper authorizations are obtained in compliance w / all State and Federal regulations, laws, and guidelines.
- Orders medical records, obtains missing authorization, and verifies that appropriate information is in the record.
- Receives routine telephone inquiries and either assists the caller / requester or routes to the appropriate department.
- Determines urgency of request and appropriate procedure to facilitate requests.
- Obtains necessary authorization to release information.
- Prepares patient charts by ordering the chart, verifying that all information is present, reviewing information for protected health information, then copying chart or passing it to in house copy service.
- Requests are logged in / out in computer system for tracking & disclosure accounting.
- Establishes and maintains courteous, cooperative relations when interacting w / other personnel and the public.
- KP Service Standards : Follows LMPs ABCs :
- Takes Initiative : Positive first impression, ask how you can help, and give information.
- Take Responsibility : Solve problems, resolve conflict, assume ownership.
- Take Care : Protect confidentiality, show respect, value differences, and show empathy.
- Take Pride : Neat work area, low noise, be professional, support your team and KP.
- Performs other duties as assigned.
Basic Qualifications :
Experience
- One (1) year of medical records office experience or medical records training or acute hospital setting experience.
- Database, CRT, PC experience.
- Formal training in basic medical record science.
- Knowledge of Medical Terminology.
- Knowledge of JCAHO & Title 22 requirements for acute hospital setting.
Education
N / A
License, Certification, Registration
N / A
Additional Requirements :
Preferred Qualifications :
N / A
This is a varied hours / varied schedule / varied locations position with potential to travel to all San Diego area medical centers. ? Mon-Sun (varied)
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